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CITY OF CUPERTINO
-
BUILDING DIVISION PERMIT
IN4RATWt.
BUILDING ADDRESS:
PERMrr NO.
19376 STEVENS CREEK BLVD
SIGN PRODUCTIONS, INC.
08100094
OWNER'S NAME:
PERMIT 195UE DATE
CENDO PROPERTIES, LLC
1010 FIRST ST NW
10/16/2008
PHONE:
SANITARY NO. CONTROL NO
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
1 2
ILLUMINATED MONUMNT, BLDG ELECTPLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
Job Description
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and my license is
in full force and tiff e tf
License Class Lic. d
Date V Contractor
ARCHITECTS DECLARATION
I understand my plans shall he used as public records
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby olfirm that 1 am exempt from the Contractor's License Law for the
following reason. (Section 7031.5, Business and Professions Code: Any city or county
which requires a permit to construct, alter, improve, demolish, or repair any structure
prior to its issuance, also requires the applicant for such permit to file a signed swtement
that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9
Sq. Ft. Floor Area
Valuation
(commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he is exempt therefrom and the basis for the alleged exemption. Any violation of
APN Number
Occupancy T
P y yPe
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars (5500).
❑ I, as owner of the property, or my employees with wages as their sole compensation,
Required Inspections
will do the work, and the structure is not intended or offered forsale (Sec. 7044, Business
and Professions Code; The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and who does such work himself or through his
own employees, provided that such improvements are not intended or offered for sale. If,
however, the building or improvement is sold within one year of completion, the owner.
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
❑ I. as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li-
cense Law does not apply to an owner of property who builds or improves thereon, and
who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's
License Law.
am exempt under Sec , B & P C for this reason
Owner Date
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ I have and will maintain a Certificate of Consent to self -insure for Worker's Compen-
sation, as provided for by Section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
have and will maintain Worker's Compensation Insurance, as required by Section
37DO of the Labor Code, for the performance of the work for which this permit is issued.
'
My Worker's Compensation Insurance carrier and Policy number are:
Carrier- ri r—L AM Policy No.:
CERTIFICATE OF EXEMPTION FRO MER '
COMPENSATION INSURANCE
,
(]his section need not be completed if the permit is for one hundred dollars ($100)
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workeri Compensation
Laws of California. Date
Applicant
'
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should
become subject to the Worker's Compensation provisions of the Labor Code, you must
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
the work for which this permit is issued (Sec. 3097, Civ. C.)
Lender's Name
Lender's Address
1 certify that I have read this application and state that the above information is
'
correct. I agree to comply with all city and county ordinances and state laws relating to
building construction, and hereby authorize representatives of this city to enter upon the
ahove-mentioned property for inspection purposes.
t
(We) agree to save, indemnify and keep harmless the City of Cupertino against
liabilides,judgments, costs and expenses which may in any way accrue against said City
in consequence of the granting of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL_ION-POINT-
Issued by: Date
SOUR EG CATIONS. f
J�O / e //
t
Re -roofs
Type of Roof .
Si azure of ApplicanUContractor _ ato �
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle hazardous material
as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety
Code,es 25532(a)?
Yrs
All roofs shall be inspected prior to any roofing material being installed,
❑ �No
[I
If a roof is installed without first obtaining an inspection, I agree to remove
Will the applicant or future building occupant use equipment or devices which
emit hazardous air contaminants as defined by the Bay Area Air Quality Management
all new materials for inspection.
District?
1 have read the hazardous matorials requirements under Chapter 6.95 of the Califor-
nia Health & Safety Code, Sections 25505, 25533 and 25534.1 undersmnd that if the building
docs not currently have a tenant, That it is my responsibility to notify the occupant of the
reyuiremc ich must be met prior to issuance of a Certificate o Occrup .cy-r
Signature of Applicant Date
All roof coverings to be Class °'fib` or better
Owner Date
or authorized agent
r'�1J1111 �111UJ11J?'�l°'l! - Ur'�f''T]i if
Fife Edit Actions Details Links Favorites Help
Pe -prof iiaorm JIn
i
Zoning Applicant Contractor " Defined Fields
Permit Number
i
08100094
Status "
C - Closed
Master Number
APN 37501018.01
Project
IQI Unit
i
Apply Date "
10/16/2008
i
Permit Issue Date
10/16/2008
f Certificate Issued
01/28/2009
Certificate Type
Address Home -19376 STEVENS CREEK BLVD
Certificate Number
City/State/Zip CUPERTINO CA 95014
Permit ` Property
Zoning Applicant Contractor " Defined Fields
Permit Details
Address" I 19376 STEVENS CREEK BLVD
Permit Type'
City/State/Zip CUPERTINO CA 95014
IQI Notes 0
APN 37501018.01
Usage Class `
IQI Unit
{� Operator patg
OEntiiY inlorrr,5Gun
Operator patg
I Owner Name %l CENDO PROPERTIES, LLC
Operator PALM
Use Default ❑
Calculated Value
Address Home -19376 STEVENS CREEK BLVD
US C-404 Type
City/State/Zip CUPERTINO CA 95014
Permit ` Property
Zoning Applicant Contractor " Defined Fields
Permit Details
Permit Type'
1 CEAP5 IQI
SIGNS, OUTLINE LIGHTING & MARQ
Usage Class `
N/A - 1011
NON APPLICABLE
Applied Value "
14983
SQUARE FT.
0
Calculated Value
01-91
US C-404 Type
'437
ALT: NON -RES, NON-HSKPG
Permit Form'
IAUTOPERM -PERMIT
Ownership
1 - Private
Project Site
COUNTER - OVER THE COUNTER
Purpose/Special Conditions
1 ILLUMINATED MONUMNT, 2 ILLUMINATED WALL SIGNS
'FILMED 6/20111
I
l[QAdd Default T
It/OK
I4ts Back l
IFS Contractors
Fees
I,Plan Reviews
V3. Inspections
lGti Print Permit
I ,'Adjustments
if'i7o Holds
l(?=1 Copy Permit l
Close Permit J
l,� Overrides
l a Supplemental Fields
Notes
IF]"i Attachments
I'
i
Permit issued 1011612008
I Enter the purpose or any special conditions for this permit "�
:,
o e/oar ?aa-jV
CITY OF CUPERTINO
azo.'t
SIGN
CITY OF
CUPERTINO PERMIT APPLICATION FORM
APN # ® � v / �', Q /
0
Date:
Building Address:
11
Mailing Address (if different from building address):
Owner's Name:
Phone #:
C en f
'R C D
Contractor:
Phone #:
5;el.✓ i C _
Fax #:
Contra or License #: gR 2 k3
Cupertino Business License #:
Contact: e�,7
Phone #: 319 t{_
p to F,\rs'(�" ST ~ = t-(>'
Fax #:
Building Permit Info:
Bldg Elect Monument Mounted on Building
Residential ❑ Commercial ®-
Job Description: /� n,
C�n� i' B(J0 / KO.&V �t.i +
Two ; (tv 0a
Valuation (cost of project):
8
Project Size: Express ❑ Standard ❑ Large ❑
Major ❑
Green Building: Please complete relevant portion of the
Green Building Checklist & attach it to the
application or if applicable, include in plan
set & the sheet index.
Revised 6/16/08
==
k,(`
CITY of
CUPEKrINO
CITY OF CUPERTINO.
SIGN
FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
1 SIGNDIRECT
Directional
B
1SIGN/RF
Ground/Roof/Projecting Signs
B
1SIGNMASCK
Master Plan Sign Check
B
1SIGNREWRKG
Rework of any existing Ground
Sign
B
1 SIGNOTHER
Other Sign
B
1 SIGNREINSP
Re -inspection Fee
B
1 SIGNWNONEL
Wall/Awning Sign, Non-
Electric
B
1 SIGNWELEC
Wall, Electric
E
1ESIGN
Sign, Outline Lighting`System
or Marquee supplied from one
branch
E
10EA.1P5
/
IESIGNADD
Additional Branch Circuit on
Same Sign, Outline System or
Marquee
E
10EAP6
1 ELCPLNCK
Plan Check Fee
E
EPERMITFEE
Electric Permit Fee
E
BSEISMICOM
Seismic Commercial
B
BSEISMICRE
Seismic Residential
B
`
/
TRAVDOC
Travel & Documentation
B
BUSLIC
Business License
B
a�
CITY OF
CUPERTINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS:rr
t
cr—ee�IG i v
PERMIT #
®� / oaf;, 1� i
OWNER'S NAME: C �,J ,",,,--R:
PHONE # 3 _ _ (, ---
GENERAL CONTRACTOR t '
FARC #� — 3 — 80
I am not using any subcontractors:
Signature ate
Please check applicable subcontractors and complete the following information:
Owner/ Contractor Signature Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/ Contractor Signature Date